Provider Demographics
NPI:1447847652
Name:EUBANK, STEVEN KENT (RPH)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:KENT
Last Name:EUBANK
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1510 N BRAZOS ST
Mailing Address - Street 2:
Mailing Address - City:WHITNEY
Mailing Address - State:TX
Mailing Address - Zip Code:76692-2017
Mailing Address - Country:US
Mailing Address - Phone:254-694-3314
Mailing Address - Fax:
Practice Address - Street 1:1510 N BRAZOS ST
Practice Address - Street 2:
Practice Address - City:WHITNEY
Practice Address - State:TX
Practice Address - Zip Code:76692-2017
Practice Address - Country:US
Practice Address - Phone:254-694-3314
Practice Address - Fax:254-694-5419
Is Sole Proprietor?:No
Enumeration Date:2020-12-22
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23513183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist